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现代营养科学中的功能性食品:作用机制、证据及对公众健康的影响

Functional Foods in Modern Nutrition Science: Mechanisms, Evidence, and Public Health Implications.

作者信息

Fekete Mónika, Lehoczki Andrea, Kryczyk-Poprawa Agata, Zábó Virág, Varga János Tamás, Bálint Madarász, Fazekas-Pongor Vince, Csípő Tamás, Rząsa-Duran Elżbieta, Varga Péter

机构信息

Institute of Preventive Medicine and Public Health, Faculty of Medicine, Semmelweis University, 1085 Budapest, Hungary.

Health Sciences Division, Doctoral College, Semmelweis University, 1085 Budapest, Hungary.

出版信息

Nutrients. 2025 Jun 28;17(13):2153. doi: 10.3390/nu17132153.

Abstract

In recent years, functional foods have garnered increasing scientific and public health interest due to their potential to confer physiological benefits beyond basic nutritional value. International bodies such as EFSA, FDA, and WHO define functional foods as those containing bioactive components that may contribute to the prevention and management of chronic non-communicable diseases, including cardiovascular disease, type 2 diabetes, and certain cancers. The evolving paradigm of "food as medicine" reflects a broader shift in nutritional science towards proactive, health-oriented dietary strategies. This article provides a comprehensive, interdisciplinary overview of functional foods by examining their biological mechanisms, clinical evidence, public health significance, regulatory frameworks, and future prospects-particularly in the context of advances in personalized nutrition and nutrigenomics. A thorough literature review was conducted, drawing from recent peer-reviewed studies and guidelines from key health authorities. The review highlights the roles of specific compounds such as probiotics and prebiotics in modulating the gut microbiome, flavonoids and polyphenols in anti-inflammatory processes, omega-3 fatty acids in cardiometabolic regulation, and vitamins and minerals in supporting immune function. While an expanding body of clinical trials and meta-analyses supports the health benefits of these compounds-including reductions in LDL cholesterol, improved insulin sensitivity, and mitigation of oxidative stress-the integration of functional foods into everyday diets remains challenging. Socioeconomic disparities and limited health literacy often impede their accessibility and widespread adoption in public health practice. Functional foods represent a promising component of prevention-focused modern healthcare. To maximize their impact, a coordinated, evidence-based approach is essential, involving collaboration among healthcare professionals, nutrition scientists, policymakers, and the food industry. Looking forward, innovations in artificial intelligence, microbiome research, and genomic technologies may unlock novel opportunities for the targeted and effective application of functional foods in population health.

摘要

近年来,功能性食品因其具有超越基本营养价值的生理益处而受到越来越多的科学和公共卫生关注。欧洲食品安全局(EFSA)、美国食品药品监督管理局(FDA)和世界卫生组织(WHO)等国际机构将功能性食品定义为含有生物活性成分的食品,这些成分可能有助于预防和管理慢性非传染性疾病,包括心血管疾病、2型糖尿病和某些癌症。“食物即药物”这一不断演变的范式反映了营养科学向积极主动、以健康为导向的饮食策略的更广泛转变。本文通过研究功能性食品的生物学机制、临床证据、公共卫生意义、监管框架和未来前景,特别是在个性化营养和营养基因组学进展的背景下,对其进行了全面的跨学科概述。我们进行了全面的文献综述,参考了近期同行评审的研究以及主要卫生当局的指南。该综述强调了特定化合物的作用,如益生菌和益生元在调节肠道微生物群方面的作用、类黄酮和多酚在抗炎过程中的作用、ω-3脂肪酸在心脏代谢调节中的作用,以及维生素和矿物质在支持免疫功能方面的作用。虽然越来越多的临床试验和荟萃分析支持这些化合物对健康的益处,包括降低低密度脂蛋白胆固醇、改善胰岛素敏感性和减轻氧化应激,但将功能性食品纳入日常饮食仍然具有挑战性。社会经济差距和有限的健康素养往往阻碍了它们在公共卫生实践中的可及性和广泛应用。功能性食品是注重预防的现代医疗保健的一个有前景的组成部分。为了最大限度地发挥其影响,采取协调一致、基于证据的方法至关重要,这需要医疗保健专业人员、营养科学家、政策制定者和食品行业之间的合作。展望未来,人工智能、微生物组研究和基因组技术的创新可能为功能性食品在人群健康中的靶向和有效应用带来新机遇。

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The dichotomy between functional and functionalized foods - A critical characterization of concepts.
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